Integrative NutritionKimberly Evans, MS, RD
ObjectivesYou will be able to
1. State the benefits of using an Integrative NutritionModel
2. Describe the five key areas that impact, and are impacted by, the biological information that food, nutrients, and herbs provide.
3. Review case examples
The Common Condition
Our Integrative Center
4 Pillars of Wellness
Take a Trip to the Moon
What does it mean?
collaborative
Integrative
little bit of “everything”
Integrative Nutrition
Optimal Wellnes
s
Disease Preventio
n
Disease Treatmen
t
No deficiency
Integrative Nutrition
Evidence-based Collaborative
Holistic
Personalized
Compassionate
What about
Functional?What is “functional nutrition?”
Lessons from people who have lived the longest
and healthiest lives
http://www.functionalmedicine.org/getstarted/resources/
IFM’sFunctional Medicine Tree
Functional Medicineaddresses the underlying causes of disease
using a systems-oriented approach not just treating symptoms
engages both patient and practitioner in a therapeutic partnership
involves understanding the origins, prevention, and treatment of complex, chronic disease.
What is Functional Medicine/Nutrition?
Hallmarks of a functional approach include:
Patient-centered care. Promotes health as a positive vitality; not just the absence of disease. Listen to the patient’s story, tailors treatments that address the
individual’s unique needs.
An integrative, science-based healthcare approach Look “upstream” to consider the patient’s history, physiology, and lifestyle
that can lead to illness. Consider the unique genetic makeup of each patient, along with both
internal (mind, body, and spirit) and external (physical and social environment) factors that affect total functioning.
Integrating best medical practices. Traditional Western medical practices “alternative” or “integrative” medicine, creating a focus on
prevention through nutrition, diet, and exercise use of the latest laboratory testing and other diagnostic techniques prescribed combinations of drugs and/or botanical medicines,
supplements, therapeutic diets, detoxification programs, or stress-management techniques.
Reference: http://www.functionalmedicine.org/about/whatisfm/
Nutrition is a critical component ofIntegrative and Functional Medicine!
Nutrition = a key part of prevention and a key part of therapy
Research is exploding in areas that link food, nutrients, herbs, nutrigenomics, and prevention and treatment of chronic conditions and disease states.
Consumer demand for more natural approaches to optimizing health, and a more holistic, person-centered and collaborative team management is driving the need for RDs to be skilled providers in Integrative Nutrition.
What differentiates an DIFM-RD? Employs a systems assessment of a person’s
biochemical
individuality to develop a nutrition care plan
Includes information from emerging sciences such as nutritional genomics
Recognizes Client uniqueness
Focuses on addressing the root cause of disease and preventive care
Strives to help the client achieve optimal health, not just the
absence of disease
“Food as Medicine” whole foods therapies targeted supplements andmind/body modalities….and is based firmly in theIntegrative Medicine model.
Let’s learn about functional nutrition.
Chronic Pain Nutrition – Foundational Eating Plan – Anti-
Inflammatory
Function – Tart Cherry Juice, Salmon, Avocado, Flaxseed
Supplementation – Boswelia, Fish Oil, Turmeric
Adjunctive – Dry Needling, Yoga, Mindfulness Therapy, Neurac, Graston
Testing – HS-CRP, Cortisol, ESR
GI Issues Nutrition – Foundational Eating Plan –
Elimination/Immune Health Plan
Function – Kombucha, Kimchi, Miso, Artichokes, Greek Yogurt
Supplementation – Probiotics, DGL, Aloe, Marshmallow Root, L-Glutamine
Adjunctive – MBSR, Somatic Education, Massage, Yoga
Testing – SIBO, Food Sensitivities, HS-CRP
Obesity or Diabesity Nutrition – Foundational Eating Plan – Hi Protein and
Clean Foods
Function – Ceylon Cinnamon, Green Tea
Supplementation – Fenugreek, Multiple Vitamin, Alpha Lipoic Acid,
Adjunctive – Exercise, Yoga/Meditation
Testing – Insulin Response Test, TSH, Vitamin D
Sports Specific Nutrition – Foundational Eating Plan – Individualized
Fueling and Hydration Protocol
Function – Crystalized Ginger
Supplementation – Probiotics, DGL, Aloe, Marshmallow Root, L-Glutamine
Adjunctive – MBSR, Somatic Education, Massage, Yoga
Testing – SpectraCell Micronutrient Test, VO2 Max
Depression Nutrition – Foundational Eating Plan – Tryptophan
Rich Complex Carbs w. Protein
Function – Salmon, Avocado, Pumpkin Seeds, Black Berries, Saffron
Supplementation – SAMe, 5-HTP, B12, Vitamin D, Probiotics, Fish Oil
Adjunctive – Psychotherapy, Yoga, Neurac, Somatic Education, Exercise
Testing – Vitamin B12, Vitamin D, TSH, Iron
Resources Institute for Functional Medicine.
Jeffery Bland, MD and Mark Hyman, MD
Center for Mind Body Medicine James Gordon, MD
Dietitians in Integrative Functional Medicine Kathie Madona Swift, MS, RD
Arizona Center for Integrative Medicine – University of Arizona (Integrative Medicine Fellowships)
Food as Medicine Conference